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� t,�- ao �a s <br /> ,��� City of Orono �����'�"������►�-� <br /> P.o.aoX ss ' ' ia f <br /> �� � 2750 Kelley Parkway Date Reeeived: Permit# °����—� �� <br /> ����l " Crystal Bay,MN 55323 /�? <br /> (952)249-4600 Amaunt: ' $_�.,� <br /> CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION <br /> (All permits must be approved by the On-Site Septic Manager and/or Building Official) <br /> site address: 700 Sixth Averlue NOrth <br /> owner: The Steiner Family, LLC Mailing Address: 144 Edgewood Ave. S <br /> c�ty: <br /> Wayata Z;p: 55391 <br /> Home Phone: Alternate Phone: <br /> �,• n'� <br /> contractoriApp.: Burns Excavating, Inc. Contact Person: St@V@ BUI"C1S <br /> Address: 3470 County Road 21 state �icense #: � 888 <br /> c;�,: Mayer Z�p: 55360 Expiration �ate: 3/2011 <br /> Phone: (952� 955-3112 Alternate Phone: �612) 685-4303 <br /> '�;,' 3e�'�� _ ��s �.. . 5 � &� 5'�;.� � � ,�'bx Ffs��i <br /> ,. <br /> d ;� Y .� �� �� 3 <br /> �`.�", 'h',a ,Y��n� � ,+�MA 1 �� �� i::<.. <br /> ❑■ Residential ❑ Commercial ❑ Other <br /> � �M � <br /> � � " <br /> � �� �'�� �:.. �r.: �„�:��.� <br /> New or Replacement System $200.00 200.�� <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> State Surcharge 5.00 5.00 <br /> Tota� $205.00 <br /> W:\(Permits)\Septic Permit Application-Updated Surcharge 7-1-10.doc <br /> 1 /2 <br />